Provider Demographics
NPI:1376550897
Name:BELL, WYNDOLYN C (MD)
Entity Type:Individual
Prefix:
First Name:WYNDOLYN
Middle Name:C
Last Name:BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:WYNDOLYN
Other - Middle Name:
Other - Last Name:CRUTCHFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7750 SAGEBRUSH DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350
Mailing Address - Country:US
Mailing Address - Phone:770-394-8298
Mailing Address - Fax:
Practice Address - Street 1:4170 ASHFORD DUNWOODY ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319
Practice Address - Country:US
Practice Address - Phone:404-846-7571
Practice Address - Fax:404-846-7729
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA022392208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics